Organization Active NPI

Donald Knapp

  • Optometrist
  • Herkimer, NY
National Provider Identifier
1790859965
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT003992-1 Issued in NY
Legal business name
DONALD KNAPP
Practice address
107 N Prospect St
Herkimer, NY 13350-1928
Phone
(315) 866-3751
Fax
(315) 866-3751
NPI assigned
Nov 20, 2006
Last updated
Mar 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Donald Bruce Knapp, O.D.
Title
Owner
Phone
(315) 866-3751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT003992-1 NY Primary

Addresses

Primary practice location

107 N Prospect St
Herkimer, NY 13350-1928

Mailing address

107 N Prospect St
Herkimer, NY 13350-1928
Phone (315) 866-3751

Other identifiers 1

IdentifierTypeStateIssuer
00667230MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1790859965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N PROSPECT ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133501928",
            "telephone_number": "315-866-3751",
            "fax_number": "315-866-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N PROSPECT ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133501928",
            "telephone_number": "315-866-3751",
            "fax_number": "315-866-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD KNAPP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "KNAPP",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-866-3751",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT003992-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00667230",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Herkimer, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.